| NPI | 1912900945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYOBOSA O JESUOROBO CEO 770-471-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: GA 20016604261) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-04-07 |